It does not mean cancer. It is really common in smokers. Only about 20% of the time does it ever become dysplastic, which is a step towards malignancy. The usual treatment for leukoplakia is to have it lasered off if you or your docs feel it warranted. If your tongue is white you likely have a candida fungal infection, and that would account for some of the burning sensations that you have mentioned in previous posts. I am surprised that he did not comment on that. But if this is a candida infection, a week on Diflucan tablets and it should clear up.